Individual provider Active NPI

Dwayne J Colson, LPC

  • Professional Counselor
  • Thomson, GA
National Provider Identifier
1902546542
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC012826 Issued in GA
Practice address
3737 Chalker Rd SW
Thomson, GA 30824-9151
Phone
(404) 985-8696
NPI assigned
Mar 31, 2022
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC012826 GA Primary

Addresses

Primary practice location

3737 Chalker Rd SW
Thomson, GA 30824-9151

Mailing address

3737 Chalker Rd SW
Thomson, GA 30824-9151
Phone (404) 985-8696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318002675 GA Practitioner - Mental Health Counselor 1759803844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychiatry and Wellness of Georgia, LLCGroup PAC ID 7810351608, 7 clinicians

Practice addresses (Care Compare)

620 Colonial Park Dr
Suite 100
Roswell, GA 30075-3839
Phone (678) 439-0017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry and Wellness of Georgia, LLC CurrentSince Jan 13, 2025 Accepting new patients

Locations

620 Colonial Park Dr
Ste 100
Roswell, GA 30075
Phone (678) 439-0017

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1902546542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 CHALKER RD SW",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308249151",
            "telephone_number": "404-985-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 CHALKER RD SW",
            "city": "THOMSON",
            "state": "GA",
            "postal_code": "308249151",
            "telephone_number": "404-985-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLSON",
        "first_name": "DWAYNE",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-31",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC012826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomson, GA

Sources for this page

Verify at the official NPI Registry.